Abstract: Cardiovascular disease (CVD) is the foremost basis of morbidity and mortality in India, accounting for a considerable share of the country non-communicable illness burden. The complex relationship of conventional and emerging risk factors contributing to CVD amongst the Indian population, which includes hypertension, diabetes, obesity, dyslipidemia, tobacco and alcohol consumption, poor nutrition, physical inactivity, and psychological stress. Speedy industrialization, financial transitions, and socio-cultural factors have extensively inclined lifestyle patterns, amplifying the threat of CVD across various demographic groups. Inequality in wellness access, health consciousness, and socioeconomic situation further intensify the issue, particularly among pastoral and underserved populations. While national public health schemes have been launched to tackle the disaster, their execution and reach remain uneven. The current review emphasizes the need for urgent, targeted obstacle strategies focused on lifestyle adaptation, community commitment, and health system strengthening. A multidimensional approach integrating ethnically appropriate health encouragement, early screening, and impartial care is crucial for reversing existing trends. The finding underscores the significance of incorporating prevention into national policy and practice to diminish the potential trouble of CVD across India.